Individual
MARILYN ANN ROYSDON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CADAC II
Contact information
Practice address
850 N HARRISON ST, WARSAW, IN 46580-3163
(574) 267-7169
(574) 269-3995
Mailing address
990 ILLINOIS ST, PLYMOUTH, IN 46563-3622
(574) 936-9646
(574) 936-4773
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
C1052
IN
Other
Enumeration date
10/27/2005
Last updated
07/08/2007
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